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Access Health Care Physicians
7 de Dec de 2016
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  1. By Dr. Maria Scunziano-Singh, MD, NMD 05/01/2014 1 Your SKIN is The Largest and Most Noticeable Organ: Discussion on How to Take Care of this Important Organ
  2. 2 1) WHAT IS SKIN? 2) COMPONENTS OF SKIN 3) SKIN TYPES 4) CARE FOR OILY SKIN 5) CARE FOR DRY SKIN 6) ON AGING SKIN 7) BASIC SKIN CARE 8) COMMON SKIN DISORDERS INCL. CANCER 9) SUN SUSPECT 10)EASTERN UNDERSTANDING OF SKIN DISEASES 11)FOOD INFLUENCES 12)LIST OF INGREDIENTS TO AVOID IN PERSONAL CARE PRODUCTS 13)WHAT TO DO IF YOU HAVE PRE CANCER OR CANCER? 14)NUTRITION FOR HEALTHY SKIN 15)SUGGESTIONS ON BRANDS TO USE 16)REFERENCES CONTENTS:
  3. 3 WHAT IS SKIN?
  4. 4 1. It is the largest organ of the human body and averages about 20 square feet. 2. It is the outer covering of the body. 3. Skin contains multiple layers 4. It protects muscles, bones, all internal organs, connective tissues, nerves and blood vessels 5. The skin has multiple functions and they are:
  5. 5 • Protection: skin is the barrier against pathogens; prevents damage between the external and internal environment; immune cells are within the skin to serve as “soldiers” of defense. • Absorption: external oxygen is needed by the outermost layers of skin (1/4 mm thickness) which is not part of the internal oxygenation of the body, hence we can say that the SKIN BREATHES. The skin can take up medication that is specially formulated to be transported into the layers and bloodstream for rapid action. It absorbs certain particles and resists others that are large. • Sensation: all skin has nerve endings that allow for perception of heat, cold, touch, vibration, pressure and injury to the tissues. • Storage: the skin holds water and fat.
  6. 6  Heat regulation: blood supply to the skin is plentiful that allows for evaporation and radiation of energy. If the blood vessels open or dilate, as occurs in response to increase in body heat, heat is lost and the body releases excess via the skin that is in the form of sweat; constriction of blood vessels conserves heat if a body is exposed to cold environments. NOTE: one may not sense sweat if the outer (external to the body) temperature is warm but dry with low humidity. So, one does sweat in warm temperatures even if it is not sensed overtly.  Control of evaporation: skin will not allow fluid loss to occur so easily; there is a semi-impermeable barrier present meaning that fluid can move through it but with restriction and regulation mechanisms intrinsic to the body. NOTE: in severe third degree burns of the skin, the control mechanism of fluid loss is destroyed and there is tremendous fluid loss as a result that threatens the life of the person afflicted.
  7. 7 • Synthesis: vitamin D is generated by the action of UV (ultraviolet light) directly on the skin. The sun on skin activates 7-dehydroxy cholesterol that contains prohormone Vit D3transported by bloodstream to liverconverts Vit D3 to 25-OHD3 that moves into the kidneyconverts this to 1,25 (OH)2 D that is a useable form for calcium balance, immune strengthening, possibly preventing depression and cancer. • Water resistance: a water-resistant barrier to prevent loss of essential nutrients. • Excretion/Discharge: small concentrations of urea (breakdown of protein) and the formation of spots, pre-malignancies and malignancies of the skin are all possible outcomes.** See below for “Eastern Understanding” of the skin manifestations. • Aesthetics/communication: the skin “speaks” to the world about all the time. A viewer can see a person who looks pale, ruddy, angry or sad at any given moment. Facial expressions and motions that we make with our skin can tell a story.
  8. 8 WHAT ARE COMPONENTS OF THE SKIN?
  9. 9 The average SQUARE INCH of skin (6.5cm squared) has: 650 sweat glands, 20 blood vessels, 60, 000 melanocytes and over 1000 nerve endings and approximately… 50 million BACTERIA! This number can be up to 500 million (yes, that’s right, ½ billion bacteria) on skin that is oily. But, all of that bacteria, on the entire skin surface can be compiled into the volume of a PEA.
  10. 10 THE SKIN HAS 3 LAYERS: 1) Epidermis: outmost layer: barrier and skin color 2) Dermis: beneath epidermis that has connective tissue, hair follicles and sweat glands 3) Deeper subcutaneous (hypodermis): fat and connective tissue.
  11. 11
  12. 12 Mesodermal cells-these are cells that will renew and replace skin regularly. Pigmentation- color by skin cells known as melanocytes and it is melanin that absorbs potentially dangerous UV in sunlight. DNA repair enzymes- these are proteins that help repair any sun burning or underlying factors that disturb the skin integrity. In conventional medicine, there is the understanding that melanoma and other skin cancers are all related to sun exposure. In traditional Oriental medicine, there is an underlying derangement of the tissue due to poor life habits. **See below for more on this subject.
  13. 13 SKIN TYPES…
  14. 14 Normal-no or few imperfections, no severe sensitivities, radiant, few pores seen Combination- nl in some areas, oily in others like the T-ZONE (nose, forehead, chin), pores can be overly dilated, blackheads seen, shiny skin Oily- enlarged pores, dull or shiny thick complexion, blackheads, pimples; worsened by puberty, stress, exposure to heat or high humidity
  15. 15 Dry- invisible pores, dull rough complexion, red patches, less elasticity, more visible lines, can be scaly, itchy, crack and peel easily, irritable, inflamed; worsened by genetics, aging, weather-wind, sun, cold, UV from tanning beds, indoor heating, long hot baths/showers, ingredients in soaps, cleansers, cosmetics, medications Sensitive- redness, itch, burns, dryness all occur easily
  16. 16 CARE FOR OILY SKIN: Wash no more than 2 times daily and wash after perspiring; use gentle cleansers; no picking or squeezing of blemishes; non-comedogenic products that DO NOT CLOG THE PORES
  17. 17 CARE FOR DRY SKIN: Take shorter baths/showers; use mild gentle soaps with moisturizing elements in the soap; avoid deodorant soaps; no harsh scrubbing when bathing or drying; apply rich moisturizer right after bathing- USE OINTEMTS & CREAMS instead of lotions because they have better staying power; reapply the cream a few times daily; use humidifiers if your environment is dry; try to keep indoor temperatures comfortable without too much heat; wear GLOVES when using cleaning agents, solvents or detergents.
  18. 18 SOME WORDS ON AGING SKIN..
  19. 19 Skin becomes thinner and more easily damaged. There is a reduced ability of the skin to repair. Why? Less blood flow and reduced gland activity. See reduction in skin and hair volume and skin elasticity. There is sagging or laxity, wrinkles or rhytids, photoaging (long term sun effects). Many products in the skin and hair industry are being pushed by advertising. Be very much warned on the products. Many are making false claims and costing the unsuspecting consumer money and loss of health. Follow a good lifestyle with proper food, exercise, safe measures and non- toxic agents and your skin will not suffer.
  20. 20 For more information on personal care products and the environment, see the reference listed on the last page for ENVIRONMENTAL WORKER’S GROUP (EWG). You will get a lot of important information on what is happening in the industry and what the FDA is and is not doing.
  21. 21 BASIC SKIN CARE
  22. 22 1) Be aware of your environment and take whatever steps are needed to have your skin comfortable. 2) Use natural soaps and organic (preferably) hand cleaners at home and office; tote your own if travelling; try to avoid the chemical dispensers for hand sanitation if you can; they are full of alcohol and chemicals; health shops carry cleaner, safer hand washing wipes, etc. 3) Wear NATURAL BREATHING FIBERS like cotton, flax, silk, rayon, wool. Acrylics, polyesters and other fabrics should be minimized for better skin and health by virtue of their artificial components. 4) EXERCISE EVERY DAY. A brisk walk in AM and PM for 10 -15 minutes is recommended. Stretch, yoga, Pilates, core strengthening to keep the middle slim and trim. Play regularly and enjoy yourself to stimulate that special organ!!
  23. 23 5) Touch your loved ones, friends, pets, plants and everything for skin stimulation. 6) Brush skin daily, gently, with a natural bristle brush over entire body; face should be handled gently and patting of skin is best when drying wet skin. 7) Massage your skin daily. Do this yourself or HAVE SOMEONE WITH LOVING HANDS HELP!! 8) Eat whole foods and avoid highly processed items. Your daily intake of rich greens, orange, yellow, purple colored vegetables will all be skin nourishing and provide antioxidants and anticancer ingredients that protect the skin from cancer and other skin diseases. Nuts, seeds, seaweeds, whole rice, grains, lentils, beans, fish, some egg are all very nourishing for skin.
  24. 24 9) Use a sunscreen that is not loaded with too many chemicals. ***Avoid the list of ingredients below. Be aware of the fact that the beach, reefs, aquatic and other wildlife that will be affected as well by toxic ingredients. 10) Wear hats, sunglasses 11) Avoid direct sunlight and be careful between 10:00 and 4:00 hours of sunlight. Caution: the not-so-sunny days count too so be safe most days. 12) DO NOT SMOKE- smoking robs oxygen from the body; facial motions in the smoking act contribute to the wrinkling and skin loosening around mouth and eyes. TOXIC ALL THE WAY with no exceptions.
  25. 25 13) Sugar is not going to help your skin. Watch what you pick up at the grocery or other retail outlets. 14) Stay hydrated. No need for excess but be aware of your body needs. CLEAN WATER please. 15) Wash skin thoroughly. 16) Do not wear makeup to bed. 17) Moisturize with excellent products.
  26. 26 COMMON SKIN DISORDERS INCLUDING CANCERS:
  27. 27 >Rashes- redness usually >Dermatitis: inflammation; atopic (a type of eczema) is most common >Eczema: skin inflammation causing itchy rash; due to overactive immune system. >Psoriasis: autoimmune with silver, scaly plaques >Dandruff: scaly scalp condition
  28. 28 >Acne: affects over 85% of people at some point in life >Cellulitis: inflammation of dermis and subcutaneous tissue usually due to infection; see red, hot often painful skin rash >Skin abscess (boil, furuncle): localized skin infection creates pus under skin; some need incision and drainage but not all. >Rosacea: chronic redness with some acne usually around cheeks, over nasal bridge and can enter the eyebrow area; poorly understood in Western medicine.
  29. 29 >Warts: viral condition; treatable by many applications >Vitiligo: depigmentation of parts of skin; melanocytes do not function; may be autoimmune, genetic, oxidative stress, neural or virally induced. >Herpes: blistering that is painful caused by HSV1 or 2 >Hives: raised red itchy patches that arise suddenly from allergic substance >Tinea versicolor: benign fungal skin infection; see pale areas of dotting or coalescing pattern on skin
  30. 30 >Shingles (herpes zoster): from chicken pox virus; shingles is a painful rash on ONE SIDE of body. >Scabies: mites into skin into webs of fingers, wrists, elbows, buttocks that is intensely itchy, especially at night; human transfer is mode. >Ringworm: fungal infection that is NOT caused by worms! >Seborrheic keratosis: benign lesion that looks like a “stuck-on” wart. >Actinic keratosis: crusty or scaly bump that forms on sun-exposed skin; may progress to cancer.
  31. 31 Melanoma: most dangerous type of skin cancer; need biopsy to identify as melanoma; variegated and irregular moles that can be flat or raised are suspects. Can occur anywhere including where the SUN DOES NOT SHINE
  32. 32 Basal Cell carcinoma: most common type of skin cancer; grows slowly; found commonly on face, arms, legs and back.
  33. 33 Squamous cell carcinoma: less common but often seen on face and arms
  34. 34 WHAT ABOUT THE SUN BEING OUR #1 SUSPECT IN CANCERS?????
  35. 35 Unfortunately, we have unleashed a monster in this earth. The OZONE layer in the atmosphere, that was present before airplanes and super industrialization, is a very thin layer that is essentially gone. It has been destroyed by modern living with industrial chemicals and gases that have destroyed this protective layer for all living things. It was the ozone layer that offered considerable protection from the sun’s strong rays. Now, we must be more cautious when exposed to sun for long periods. By following excellent diets, avoiding toxic exposure in the environment and protecting our skin from excess of direct sun, we would see significant reductions in skin diseases/cancers.
  36. 36 **Eastern Understanding of Skin Disease: We are products of our diet and elements That we ingest, absorb, inhale, take in emotionally, psychically and Spiritually. The skin will DISCHARGE or demonstrate the products That the body is exposed to. In Eastern understanding, the SUN is not the culprit. Humans are the culprit when they make poor decisions and lack discipline in nature and with all natural things. The sun nourishes and provides life.
  37. 37 **Meat- leathery, thick skin, forceful expressions, deep lines and cancers **Poultry- painful and stiff joints with skin thickening and retraction as in “trigger fingers” and other tendon problems, especially in the hands **Dairy- thick, insensitive skin, cancers **Fish- scaly skin **Bread and baked goods- puffy, pasty skin, bloated cheeks **Fruit and juice- thinning hair, dandruff **Sugar and sweets- freckles, brown spots, white dots on fingernails Some food influences on skin:
  38. 38 1) Parabens- toxic and cheap; in MANY products 2) Phthalates (bibutyl & diethyl) in hairsprays, nail polish and some fragrances; hazardous! 3) Synthetic colors: FD & C, and D&C followed by a # are coal tar based and many are carcinogenic 4) Synthetic fragrances: allergy inducing; the word “fragrance” can mean “anything” at all; don’t fall for it! 5) Diethanolamine (DEA) and Triethanolamine (TEA): act as foaming agents, stabilize pH; are often irritating and are toxic ***LIST OF INGREDIENTS TO AVOID IN YOUR PERSONAL CARE PRODUCTS:
  39. 39 6) Imidazolidinyl Urea and Diazolidinyl Urea: are preservatives that cause dermatitis- release FORMALDEHYDE that is toxic 7) Petroleum based products: Sodium Laurel Sulfate- a cheap detergent in shampoos: allergenic; Propylene glycol (PEG & PPG)-allergenic; PVP & PVA copolymers- toxic if inhaled, found in hair products 8) Petrolatum-Petroleum jelly- coal tar 9) 1,4 Dioxane: a BY-PRODUCT of other chemicals that is not listed on your bottles and containers! It is found in hair care products, hair removers, baby soaps, tanning products, hormone creams, facial moisturizers and eye care creams.
  40. 40 WHAT TO DO IF YOU HAVE A SKIN GROWTH THAT MAY BE CANCER OR PRECANCEROUS?
  41. 41 All moles and growths are not alike. Most are benign. However, it may be in your best interest to have the skin checked before something becomes more serious. Have this checked by a trained licensed professional. Listen to your options. If you prefer a more natural approach, seek the assistance of a health provider who knows what works and will not harm you. One treatment that is listed below is available by ordering from a company such as Amazon on line. It is not sold in stores. It is not endorsed by dermatology with the FDA. It is for the individual to decide which he/she may be comfortable with for health safety sake.
  42. 42 1) Cryotherapy- no-scalpel involved; used for actinic and seborrheic keratosis, warts and some early cancers. 2) Topical antineoplastic agents- these are used by MDs; ask about there use. 3) Other chemotherapeutic agents 4) Radiation- this is done by radiation oncologists; many possible adverse outcomes; must be discussed with the physician 5) Surgical removal- this can take several layers of skin; can and does cause scarring; no guarantees for future re-growth; costly 6) Curaderm- a safe, non-toxic cream formulated by a chemist, Dr. Bill Cham, Ph.D., over 25 years ago, that is used to clear basal, squamous and early stage melanoma; available for $129.00 to order from overseas. See web/internet for more details and read the book entitled THE EGGPLANT CANCER CURE (SEE IN REFERENCES BELOW). This cream has not been approved by the FDA and is used by one’s own careful decision and experience with the results that have been nothing less than excellent. Options:
  43. 43 NUTRITION FOR HEALTHY SKIN: As indicated above, one must eat a diet that consists of WHOLE FOODS and eliminates JUNK. Plants with color are healthful and provide ingredients that nourish the skin. Use a wide variety of vegetables. Fruits that are in season and not high in sugar are preferred: berries, pears, apples, pomegranates, avocadoes and plums are all good choices. Un-milled rice and other grains are preferred. Fish and seafood 3 times a week for fatty acids and protein sources are important. Nuts and seeds are helpful in providing minerals and vitamins for the skin. Meat and dairy must be carefully selected, used infrequently, if at all for optimal outcomes.
  44. 44 You may use a quality multivitamin and mineral product for additional nutrients. DO NOT OVERDO ANY VITAMINS!! Vitamin C can be used daily up to 5000 mg for those who do not form stones or are not sensitive. Vitamin D3 may be used daily up to 5000 IU. Most people will be recommended to take 2000 IU daily. This is a safe amount as far as our understanding of the supplement to date.
  45. 45 SUGGESTIONS ON SAFE BRAND PRODUCTS FOR THE SKIN: Aubrey products, Aura Cacia, Burt’s Bees, Seventh Generation, Desert Essence, Andalou Naturals, California Baby, Farmer’s Market (1-800 451-7096), Pacifica, Shea Moisture, Organique by Himalaya, Chandler Farm
  46. 46 Look for certifications; products should be certified organic or BDIH (a German certification process that some American companies are exploring). _______Thank you________ BE AWARE:
  47. 47 1) Cham, B., Ph.D. The Eggplant Cancer Cure; Smart Publications, CA, 2007 2) http://www.webmd.com/skin-problems-and-treatment 3) http://www.ewg.org/skindeep 4) http://www.exg.org/about-us 5) http://www.organicconsumers association.com 6) Kushi, M. The Macrobiotic Path To Total Health; Balantine Books, 2003 7) Pirello, C. Glow; Penguin Group, 2001 REFERENCES:
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